Surgery open science最新文献

英文中文

Assessing the environmental impact associated with disruptive surgical bleeding 评估与破坏性手术出血相关的环境影响

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1016/j.sopen.2025.04.009

Mesut Kocaman , Stephen Johnston , Mosadoluwa Afolabi , Walter Danker , Fiona Adshead

Background

Minimizing avoidable healthcare resource use can support a move towards more sustainable healthcare systems. Few studies have sought to evaluate the environmental impact of complications associated with specific surgical procedures. The aim of this study was to assess the environmental impact associated with disruptive surgical bleeding across a broad range of procedures.

Methods

The environmental impact assessment was performed using clinical and healthcare resource use data from a retrospective database analysis of patients with disruptive bleeding across nine procedures. Emissions data from the Sustainable Healthcare Coalition were sourced for the relevant resource use activities and used to calculate the climate, water and waste impact associated with disruptive surgical bleeding.

Results

Across the procedures of interest, surgical bleeding was shown to incur a mean environmental impact of 167 kg CO₂e, 267 m³ water use and 20 kg waste. Considering the incidence of disruptive bleeding per 1000 procedures, treatment of bleeding during valve procedures was associated with the highest environmental impact due to the high proportion of patients in which this complication occurs (44 %). Achieving effective and timely control of surgical bleeding events and reducing their incidence by 50 % could save up to 49 tons of CO₂e, 77,082 m³ of water use, and 6.3 tons of waste per 1000 surgical procedures.

Conclusions

Surgical bleeding is associated with a substantial environmental impact. This study demonstrates the potential to use existing resource use data associated with specific healthcare activities to assess their environmental impact, helping to identify key areas for improvement in the sustainability of surgical departments.

尽量减少可避免的医疗保健资源使用可以支持向更可持续的医疗保健系统迈进。很少有研究试图评估与特定外科手术相关的并发症对环境的影响。本研究的目的是评估各种手术过程中破坏性手术出血对环境的影响。方法采用回顾性数据库分析的临床和卫生保健资源使用数据，对9个手术的破坏性出血患者进行环境影响评价。可持续医疗保健联盟的排放数据来源于相关的资源利用活动，并用于计算与破坏性手术出血相关的气候、水和废物影响。结果在所研究的手术过程中，手术出血平均产生167公斤二氧化碳当量、267立方米用水和20公斤废物的环境影响。考虑到每1000例手术中破坏性出血的发生率，由于发生这种并发症的患者比例很高（44%），瓣膜手术期间出血的治疗与最高的环境影响相关。有效及时地控制手术出血事件，并将其发生率降低50%，每1000例手术可节省高达49吨的二氧化碳排放量，77,082立方米的用水量和6.3吨的废物。结论手术出血与严重的环境影响有关。这项研究展示了利用与特定医疗保健活动相关的现有资源使用数据来评估其环境影响的潜力，有助于确定外科部门可持续性改进的关键领域。

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引用次数: 0

Pooled perspectives: Critical considerations for the modern meta-analysis 汇集的观点：现代元分析的关键考虑

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-04-01 Epub Date: 2025-03-19 DOI: 10.1016/j.sopen.2025.03.005

Melissa Justo MD, Halil Askin MD, Deep Mehta, Peyman Benharash MD MS

引用次数: 0

Prolonged allograft survival in liver transplantation 肝移植中延长同种异体移植物存活

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-04-01 Epub Date: 2025-03-28 DOI: 10.1016/j.sopen.2025.03.006

Yash Kadakia MD , Andrew D. Shubin MD, PhD , Malcolm MacConmara MBBCh FACS , Madhukar S. Patel MD, MBA, ScM , Jorge A. Sanchez-Vivaldi MD , Lauren E. Matevish MD , Steven I. Hanish MD, FACS , Parsia A. Vagefi MD, FACS , Christine S. Hwang MD, FACS

Introduction

Donor age has traditionally been considered a factor associated with allograft failure in liver transplantation. We sought to examine the characteristics and outcomes of all liver allografts with a cumulative age of over 80 years within the US to better understand liver senescence.

Methods

Using the UNOS STARfile, allografts with a cumulative age (sum of age at transplant plus post-transplant survival) of octogenarian, 90–99 nonagenarian, and 100 years or greater (centurion) were identified from all adult transplant recipients between 1990 and 2022. Donor and recipient data as well as outcomes were analyzed.

Results

There were 3437 octogenarian, 622 nonagenarian, and 29 centurion allografts. Donors from allografts with prolonged cumulative age had less diabetes, less alcohol use, and fewer infections compared to all other donors. Recipients had significantly lower MELD scores at the time of transplant and dialysis rates.

Conclusions

Careful matching of older donors with lower MELD recipients results in excellent outcomes as evidenced by the presence of prolonged cumulative age livers, demonstrating the resilience of the liver to senescent events in appropriately matched recipients.

传统上，供体年龄被认为是导致同种异体肝移植失败的一个因素。我们试图检查美国境内累积年龄超过80岁的所有同种异体肝脏移植的特征和结果，以更好地了解肝脏衰老。方法使用UNOS STARfile，从1990年至2022年间的所有成人移植受者中鉴定出累积年龄（移植时年龄加移植后生存期）为80岁、90-99岁、100岁及以上（百夫长）的同种异体移植物。分析供体和受体数据以及结果。结果老年3437例，老年622例，百夫长29例。与所有其他供体相比，累积年龄较长的同种异体移植物供体患糖尿病、饮酒和感染的几率较低。受者在移植和透析时的MELD评分明显较低。老年供体与低MELD受者的精心匹配可以获得良好的结果，这一点可以通过肝脏累积年龄延长来证明，这表明在适当匹配的受者中，肝脏对衰老事件具有恢复能力。

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引用次数: 0

Editorial Board Page 编委会页面

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-04-01 Epub Date: 2025-04-21 DOI: 10.1016/S2589-8450(25)00026-0

引用次数: 0

Comparison of complication rates in transgender top surgery (female to male) between conventional bandages and negative pressure wound therapy – A retrospective analysis 传统绷带与负压创面治疗跨性别手术（男女）并发症发生率的回顾性分析

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-04-01 Epub Date: 2025-03-14 DOI: 10.1016/j.sopen.2025.03.003

Carmen Leser , Georg Dorffner , Fiona Kabashi , Christine Deutschmann , Daniel König , Zaza Kashibadze , Selina Ebner , Daphne Gschwantler-Kaulich

Fifty to 70 % of transgender patients undergo gender-affirming top surgery. In other types of surgeries, the use of negative pressure wound therapy (NPWT) was described as a major point in reducing complications, and we, therefore, examined possible similar effects when using it in gender-affirming top surgery.

We investigated differences in the complication rates after body contouring surgery with or without the use of NPWT and included 58 female-to-male transgender patients who have been operated on at the Medical University of Vienna between 2017 and 2020 in this retrospective analysis.

Without NPWT, significantly more patients suffered from wound dehiscence (p = 0.026) and slightly more patients had to undergo postoperative percutaneous drainage due to seroma (p = 0.129). However, patients had significantly less revision surgery because of severe bleeding with the conventional dressing (p = 0.005). The surgical method was another factor influencing the occurrence of wound dehiscence, especially regarding the incision type and the resected volume. Large breasts and the necessity for using a typical mastectomy incision were underlying factors for dehiscence.

There are fewer complications when using NPWT, especially regarding wound dehiscence in top surgery; however, postsurgery monitoring is required for severe bleeding afterward.

50%到70%的变性患者接受了性别确认手术。在其他类型的手术中，负压伤口治疗（NPWT）的使用被描述为减少并发症的一个主要点，因此，我们研究了在性别肯定手术中使用它时可能产生的类似效果。我们调查了使用或不使用NPWT的身体轮廓手术后并发症发生率的差异，并在这项回顾性分析中纳入了2017年至2020年在维也纳医科大学接受手术的58名女变性男患者。未进行NPWT的患者出现伤口裂开的比例明显高于对照组（p = 0.026），术后因血清肿进行经皮引流的比例略高于对照组（p = 0.129）。然而，由于常规敷料出血严重，患者翻修手术明显减少（p = 0.005）。手术方式是影响创面裂开发生的另一个因素，尤其是切口类型和切除的体积。大乳房和使用典型乳房切除术切口的必要性是开裂的潜在因素。使用NPWT的并发症更少，特别是对于顶部手术的伤口开裂；然而，术后严重出血需要术后监测。

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引用次数: 0

NIH funding for the pediatric surgeon-scientist: A stable entity, but for how long? 美国国立卫生研究院（NIH）对儿科外科医生-科学家的资助：一个稳定的实体，但能维持多久？

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-03-01 Epub Date: 2025-03-04 DOI: 10.1016/j.sopen.2025.02.008

Troy A. Markel MD, FACS, FAAP

引用次数: 0

Propensity matched analysis of DPA or DPL used within the first hour for severely hypotensive blunt trauma patients 重度低血压钝性创伤患者在第一个小时内使用DPA或DPL的倾向匹配分析

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-03-01 Epub Date: 2025-01-25 DOI: 10.1016/j.sopen.2025.01.005

Mallory Jebbia MD, Jeffry Nahmias MD MHPE, Sebastian Schubl MD, Matthew Dolich MD, Michael Lekawa MD, Allen Kong MD, Areg Grigorian MD

Background

Prior single-center reports advocate for use of diagnostic peritoneal aspiration or lavage (DPA/DPL) to identify blunt trauma patients (BTPs) with intra-abdominal hemorrhage who require emergent surgery. Despite this, concerns exist over the potential for DPA/DPL to delay transfer to the operating room (OR). We hypothesized that DPA/DPL application in severely hypotensive BTPs would lead to increased OR transfer time and in-hospital mortality.

Methods

The 2017–2019 TQIP database was queried for adult BTPs presenting with severe hypotension (systolic blood pressure <70 mmHg) who underwent any operative intervention within two-hours. Using a 1:2 propensity-score model, patients who underwent DPA/DPL within one-hour of arrival were compared with those who did not, controlling for age, sex, comorbidities, ≥6 units of packed red cells within 4 h, and injury profile.

Results

From 5514 patients, 62 (1.1 %) underwent DPA/DPL. We matched 52 DPA/DPL patients to 104 patients not undergoing DPA/DPL. There were no differences in the matched variables between cohorts (all p > 0.05). Compared to those not undergoing DPA/DPL, patients undergoing DPA/DPL had a higher rate/risk of in-hospital complications (59.6 % vs. 39.4 %, p = 0.02) (OR 2.27, CI 1.15–4.47, p = 0.02) but statistically similar rate/risk of death (65.4 % vs. 50.0 %, p = 0.07) (OR 1.89, CI 0.95–3.76, p = 0.07). Time to OR was similar between both groups (DPA/DPL 39 min vs. non-DPA/DPL 42 min, p = 0.87).

Conclusion

DPA or DPL used within the first hour of arrival does not appear to delay time to OR and does not increase risk of death. This challenges concerns over potential DPA/DPL-associated delays and heightened mortality risks.

背景：先前的单中心报告主张使用诊断性腹膜抽吸或灌洗（DPA/DPL）来识别钝性创伤患者（btp）并发腹内出血，需要紧急手术。尽管如此，人们仍然担心DPA/DPL可能会延迟转移到手术室（OR）。我们假设DPA/DPL应用于严重低血压的BTPs会增加手术室转院时间和住院死亡率。方法查询2017-2019年TQIP数据库中出现严重低血压（收缩压70 mmHg）且在2小时内接受任何手术干预的成人btp患者。采用1:2倾向评分模型，比较在到达后1小时内接受DPA/DPL的患者与未接受DPA/DPL的患者，控制年龄、性别、合并症、4小时内堆积红细胞≥6单位和损伤情况。结果5514例患者中，62例（1.1%）行DPA/DPL。我们将52例DPA/DPL患者与104例未接受DPA/DPL的患者进行了配对。各组间匹配变量无差异(均p >；0.05)。与未接受DPA/DPL的患者相比，接受DPA/DPL的患者住院并发症发生率/风险更高（59.6%比39.4%,p = 0.02）（OR 2.27, CI 1.15-4.47, p = 0.02），但死亡率/风险在统计学上相似（OR 1.89, CI 0.95-3.76, p = 0.07）。两组到OR的时间相似（DPA/DPL 39 min vs.非DPA/DPL 42 min， p = 0.87）。结论在患者到达后1小时内使用dpa或DPL不会延迟到or时间，也不会增加死亡风险。这挑战了人们对潜在的DPA/ dpl相关延迟和更高死亡率风险的担忧。

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引用次数: 0

Evaluation of the necessity of simultaneous cholecystectomy in patients undergoing liver hydatid cyst surgery 肝包虫囊肿手术患者行胆囊切除术的必要性评价

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-03-01 Epub Date: 2025-02-26 DOI: 10.1016/j.sopen.2025.02.009

Hüseyin Fahri Martlı , Arzu Hazal Aydın , Eda Şahingöz , Derviş Duru , Sadettin Er , Nesrin Turhan , Mesut Tez

Introduction

Liver hydatid cysts remain a significant public health issue in Turkey, the Middle East, East Asia, and Russia. Surgical treatments are often employed for certain stages of this disease. However, the necessity of simultaneous cholecystectomy during these procedures remains unclear. Treating symptoms related to subsequent cholelithiasis can become more challenging. This study investigates the necessity of simultaneous cholecystectomy by following patients who underwent hydatid cyst surgery with or without concurrent cholecystectomy.

Materials and methods

Patients who underwent surgery for hydatid cysts between 2019 and 2024 at the General Surgery Clinic of Ankara Bilkent City Hospital were retrospectively reviewed. A total of 97 patients were included, with 56 (54.32 %) undergoing cholecystectomy along with hydatid cyst surgery (Group 1) and 41 (45.68 %) not undergoing cholecystectomy (Group 2).

Preoperative clinical, laboratory, and radiological findings, as well as intraoperative data, morbidity, mortality, and postoperative symptoms, were analyzed.

Results

Patients in Group 1 had longer hospital stays, higher blood loss, and significantly higher Clavien-Dindo complication scores. In the postoperative follow-up of Group 2, 8 patients (19.51 %) developed stones or sludge, and 1 patient (2.4 %) developed polyps. Four patients (9.75 %) presented to the emergency department with cholecystitis symptoms. A total of 5 patients (12.19 %), including 4 with symptomatic cholelithiasis (9.7 %) and 1 with gallbladder polyps (2.4 %), underwent elective cholecystectomy. Two (40 %) of these cholecystectomies were performed laparoscopically, while three (60 %) were converted to open cholecystectomy.

Conclusion

Simultaneous cholecystectomy during liver hydatid cyst surgery may prevent difficulties associated with treating symptoms related to subsequent cholelithiasis.

肝包虫病在土耳其、中东、东亚和俄罗斯仍然是一个重要的公共卫生问题。这种疾病的某些阶段通常采用手术治疗。然而，在这些手术中同时胆囊切除术的必要性仍不清楚。治疗与后续胆石症相关的症状会变得更具挑战性。本研究通过随访行包虫病手术伴或不伴胆囊切除术的患者来探讨同时胆囊切除术的必要性。材料和方法回顾性分析2019年至2024年在安卡拉比尔肯特市医院普外科诊所接受包虫囊肿手术的患者。共纳入97例患者，其中56例（54.32%）行胆囊切除术并包虫囊肿手术（第1组），41例（45.68%）未行胆囊切除术（第2组）。分析术前临床、实验室和放射学表现，以及术中资料、发病率、死亡率和术后症状。结果1组患者住院时间较长，出血量较高，Clavien-Dindo并发症评分显著高于对照组。术后随访2组8例（19.51%）出现结石或污泥，1例（2.4%）出现息肉。4例（9.75%）患者以胆囊炎症状就诊于急诊科。择期胆囊切除术5例（12.19%），其中症状性胆石症4例（9.7%），胆囊息肉1例（2.4%）。其中2例（40%）胆囊切除术在腹腔镜下进行，3例（60%）转为开腹胆囊切除术。结论肝包虫病手术中同时行胆囊切除术可避免胆石症后续症状的治疗困难。

{"title":"Evaluation of the necessity of simultaneous cholecystectomy in patients undergoing liver hydatid cyst surgery","authors":"Hüseyin Fahri Martlı , Arzu Hazal Aydın , Eda Şahingöz , Derviş Duru , Sadettin Er , Nesrin Turhan , Mesut Tez","doi":"10.1016/j.sopen.2025.02.009","DOIUrl":"10.1016/j.sopen.2025.02.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Liver hydatid cysts remain a significant public health issue in Turkey, the Middle East, East Asia, and Russia. Surgical treatments are often employed for certain stages of this disease. However, the necessity of simultaneous cholecystectomy during these procedures remains unclear. Treating symptoms related to subsequent cholelithiasis can become more challenging. This study investigates the necessity of simultaneous cholecystectomy by following patients who underwent hydatid cyst surgery with or without concurrent cholecystectomy.</div></div><div><h3>Materials and methods</h3><div>Patients who underwent surgery for hydatid cysts between 2019 and 2024 at the General Surgery Clinic of Ankara Bilkent City Hospital were retrospectively reviewed. A total of 97 patients were included, with 56 (54.32 %) undergoing cholecystectomy along with hydatid cyst surgery (Group 1) and 41 (45.68 %) not undergoing cholecystectomy (Group 2).</div><div>Preoperative clinical, laboratory, and radiological findings, as well as intraoperative data, morbidity, mortality, and postoperative symptoms, were analyzed.</div></div><div><h3>Results</h3><div>Patients in Group 1 had longer hospital stays, higher blood loss, and significantly higher Clavien-Dindo complication scores. In the postoperative follow-up of Group 2, 8 patients (19.51 %) developed stones or sludge, and 1 patient (2.4 %) developed polyps. Four patients (9.75 %) presented to the emergency department with cholecystitis symptoms. A total of 5 patients (12.19 %), including 4 with symptomatic cholelithiasis (9.7 %) and 1 with gallbladder polyps (2.4 %), underwent elective cholecystectomy. Two (40 %) of these cholecystectomies were performed laparoscopically, while three (60 %) were converted to open cholecystectomy.</div></div><div><h3>Conclusion</h3><div>Simultaneous cholecystectomy during liver hydatid cyst surgery may prevent difficulties associated with treating symptoms related to subsequent cholelithiasis.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"24 ","pages":"Pages 61-65"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Handedness in surgical education: Evaluating suturing proficiency among left- and right-handed trainees 外科教育中的利手性：评估左撇子和右撇子学员的缝合熟练程度

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-03-01 Epub Date: 2025-02-21 DOI: 10.1016/j.sopen.2025.02.006

Elio R. Bitar, Joelle Hassanieh, Salim Rahhal, Batoul Zaiter, Ahmad Zaghal

Background

Left-handedness is often perceived as a disadvantage in surgical training due to the predominance of right-handed instruments and right-handed mentors. Whether this affects the performance of left-handed trainees remains unclear. This study aims to compare the suturing proficiency of left-handed and right-handed novice learners when taught by right-handed instructors using right-handed tools.

Methods

A prospective, non-randomized, non-inferiority trial was conducted among students without prior suturing experience, divided by handedness. Participants underwent a teaching session on simple interrupted suturing using right-handed instruments and were assessed using a validated ten-item checklist. Secondary outcomes included satisfaction and were assessed via subjective questionnaires.

Results

Among 129 participants (86 right-handed, 43 left-handed), no significant difference in suturing performance was observed between groups. However, left-handed participants reported subjective difficulties using right-handed instruments, and instructors noted challenges teaching them.

Conclusion

Handedness does not impact the final outcome of basic surgical skills teaching. However, left-handed students may perceive more challenges due to right-handed tools and techniques. Tailoring teaching strategies and providing hand-specific tools may improve their learning experience.

背景：在外科训练中，由于惯用右手的器械和导师占主导地位，左撇子通常被认为是一种劣势。这是否会影响左撇子学员的表现尚不清楚。本研究旨在比较由右撇子教师使用右撇子工具进行教学时，左利手新手与右撇子新手的缝合熟练程度。方法采用前瞻性、非随机、非劣效性试验，对无缝合经验的学生进行分组。参与者接受了使用右手器械进行简单中断缝合的教学课程，并使用经过验证的十项检查表进行评估。次要结果包括满意度，并通过主观问卷进行评估。结果129名被试（右撇子86名，左撇子43名）的缝合能力在两组间无显著差异。然而，左撇子参与者报告了使用右手乐器的主观困难，教师也指出了教他们的挑战。结论偏手性不影响外科基本技能教学的最终效果。然而，由于惯用右手的工具和技术，左撇子学生可能会感受到更多的挑战。量身定制教学策略和提供手部专用工具可以改善他们的学习体验。

{"title":"Handedness in surgical education: Evaluating suturing proficiency among left- and right-handed trainees","authors":"Elio R. Bitar, Joelle Hassanieh, Salim Rahhal, Batoul Zaiter, Ahmad Zaghal","doi":"10.1016/j.sopen.2025.02.006","DOIUrl":"10.1016/j.sopen.2025.02.006","url":null,"abstract":"<div><h3>Background</h3><div>Left-handedness is often perceived as a disadvantage in surgical training due to the predominance of right-handed instruments and right-handed mentors. Whether this affects the performance of left-handed trainees remains unclear. This study aims to compare the suturing proficiency of left-handed and right-handed novice learners when taught by right-handed instructors using right-handed tools.</div></div><div><h3>Methods</h3><div>A prospective, non-randomized, non-inferiority trial was conducted among students without prior suturing experience, divided by handedness. Participants underwent a teaching session on simple interrupted suturing using right-handed instruments and were assessed using a validated ten-item checklist. Secondary outcomes included satisfaction and were assessed via subjective questionnaires.</div></div><div><h3>Results</h3><div>Among 129 participants (86 right-handed, 43 left-handed), no significant difference in suturing performance was observed between groups. However, left-handed participants reported subjective difficulties using right-handed instruments, and instructors noted challenges teaching them.</div></div><div><h3>Conclusion</h3><div>Handedness does not impact the final outcome of basic surgical skills teaching. However, left-handed students may perceive more challenges due to right-handed tools and techniques. Tailoring teaching strategies and providing hand-specific tools may improve their learning experience.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"24 ","pages":"Pages 51-57"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging gaps in global surgery: Insights from an international hybrid conference 弥合全球外科手术的差距：来自国际混合会议的见解

IF 1.4 Q3 SURGERY

Surgery open science

Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI: 10.1016/j.sopen.2025.02.002

Fay Fathima Imtiaz Fareed , Leshanth Uthayanan , Robyn Anderson , Sai Kotecha , Adele Mazzoleni , Joshua Erhabor , Niraj S. Kumar , William Wong

This study explores the motivations for attendance, methods of conference promotion, and key considerations in implementing a hybrid conference for global surgery education among medical students and trainee doctors. The InciSion UK Global Surgery Conference 2023, held in London, provided a unique platform combining in-person and virtual participation. Pre- and post-conference surveys collected qualitative and quantitative data from 640 and 794 respondents, respectively. Professional development (83.4 %) and learning about global surgery (70.8 %) were primary motivators for attendance. Confidence in global surgery significantly increased post-conference (mean score: 4.21 vs. 2.82, p < 0.001). Social media was the most effective promotional tool, introducing 38.4 % of attendees to the event. Participants highlighted the diversity and quality of talks as strengths, while technical issues were a challenge. Future conferences should enhance technical infrastructure and interactive engagement for virtual attendees. The hybrid model proves effective in broadening access to global surgery education and fostering collaboration across diverse geographical regions.

本研究探讨出席会议的动机、会议推广的方法，以及在医学生和实习医生之间实施全球外科教育混合会议的关键考虑因素。在伦敦举行的2023年切口英国全球外科会议提供了一个结合面对面和虚拟参与的独特平台。会前和会后调查分别从640名和794名受访者中收集了定性和定量数据。专业发展（83.4%）和学习全球外科知识（70.8%）是出勤的主要动机。会议后对全球手术的信心显著增加(平均评分：4.21比2.82,p <；0.001)。社交媒体是最有效的推广工具，将38.4%的与会者介绍给了展会。与会者强调，会谈的多样性和质量是优势，而技术问题是一项挑战。未来的会议应加强技术基础设施和虚拟与会者的互动参与。事实证明，这种混合模式在扩大全球外科教育机会和促进不同地理区域的合作方面是有效的。

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引用次数: 0

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